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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TRACY K. PETTINGER PHARM.D.
NPI 1568458719
Pharmacist - Pharmacotherapy in Pocatello, ID

Active since September 23, 2005
465 MEMORIAL DR, IDAHO STATE UNIVERSITY, POCATELLO, ID 83201(208) 282-5012 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tracy K. Pettinger Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRACY K. PETTINGER PHARM.D. (NPI 1568458719) is an individual pharmacotherapy provider in Pocatello, Idaho, licensed in Idaho (P5743) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1568458719
Entity TypeIndividualFemale
Primary Taxonomy1835P1200X
Provider Legal NameDR. TRACY K. PETTINGERCredential: PHARM.D.
Location Address465 MEMORIAL DR, IDAHO STATE UNIVERSITYPocatello, ID 83201-4008
Mailing AddressIdaho State University, Campus Box 8357Pocatello, ID 83209-0001 · (208) 282-5012
Phone(208) 282-5012
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1568458719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License✔ Licensed in ID · P5743
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
465 MEMORIAL DR, Pocatello, ID 83201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JORDIN MILLWARD PHARMD
Pharmacist (Pharmacotherapy)
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-3387
KATELYN BERCAW DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862
TYLER GEYEN DDS
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-3289
DR. CORY VEIGEL DMD
Dentist (General Practice)
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-6000
CHAD REILLY PEXTON DDS
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-6000
BRANDON PACE DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862
DR. BRADLEY YAMASHITA BEAUFORT DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-4700
SHAYLOR BRINGHURST MD
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Pettinger's NPI number?

The NPI number for Tracy Pettinger is 1568458719. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Tracy Pettinger located?

Tracy Pettinger practices at 465 Memorial Dr Idaho State University, Pocatello, ID 83201. The listed phone number is (208) 282-5012.

What is Tracy Pettinger's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Tracy Pettinger was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.